I think everything in the law is designed to force a government single-payer system on America.
Every bad result that comes from this law will be used as an excuse to go to a single-payer health-care monstrosity.
It’s not by any means certain that Bummer will manage to fill the power vacuum himself. These antics could as possibly get him roundly rejected, if he becomes widely known as stupid and/or a liar.
egggsactly!